BF-389, dihydro-4-(3,5-di-tert-butyl-4-hydroxybenzylidene)-2-methyl-2H-1,2- oxazin-3(4H)-one, is a potent, orally active, antiarthritic and
analgesic agent with low ulcerogenic potential. A comparison of the activity profiles of
BF-389 and
naproxen showed similarities in: (1) suppression of developing and chronic
adjuvant arthritis (AA); (2) maximal inhibitory response, as shown by the E(max) values in the developing and established AA models; (3) inhibition of bone degenerative changes associated with chronic
adjuvant arthritis; and (4)
analgesic activity in the
acetic acid and
phenylquinone writhing assays. Though
BF-389 has been shown to be a potent inhibitor of
cyclooxygenase, IC50 = 0.84 +/- 0.25 microM against the production of
PGE2 in vitro, there is a great difference from most
cyclooxygenase inhibitors; it also inhibits the
5-lipoxygenase enzyme. For
BF-389, the IC50 for in vitro
LTB4 formation was found to be 3.65 +/- 1.19 microM. The ulcerogenic potential of
BF-389 was compared to that of
naproxen using a five-day in vivo ulcerogenic rat assay. The UD50 for
naproxen was found to be approximately 30 mg/kg/day, p.o. Based upon efficacy in the DEV AA and EST AA models, UD50/ED50 values for
naproxen were estimated to be 0.7 and 1.9, respectively. For
BF-389 the UD50 was shown to be 520 (389-695) mg/kg/day, p.o., and the corresponding UD50/ED50 values were calculated to be 84 and 28, respectively, thus demonstrating the wide margin of safety between efficacy and ulcerogenicity in rats.